Knee Joint Pain May Be an Indicator for a Hip Joint Problem in Children: A Case Report
- Author:
Ayse Esra Yilmaz
;
Hakan Atalar
;
Tugba Tag
;
Meki Bilici
;
Semra Kara
- Publication Type:Case Reports
- Keywords:
children, diagnosis, hip, joint pain, knee, referred pain
- From:Malaysian Journal of Medical Sciences
2011;18(1):79-82
- CountryMalaysia
- Language:English
-
Abstract:
Knee joint pain is one of the most common complaints related to the skeletal system
encountered by paediatricians. Knee joint pain generally occurs as the result of hypermobility and
growing pains, though disorders manifesting as arthritis/arthralgia and orthopaedic problems
should be considered in the differential diagnosis. A thorough and careful physical examination
and laboratory and radiological findings are of importance for an accurate diagnosis. Although
treatment should be based on the aetiology of the knee pain, non-steroid anti-inflammatory drugs
can be used to alleviate the pain. A 7-year-old male patient presented with recurring pain in the left
knee. Physical examination of the patient, laboratory tests, and radiological examination of the knee
joint were normal; roentgenograms performed for a presumed hip joint problem revealed a focal
cortical defect on the left femoral head and an increased effusion in the left hip joint space compared
with the right counterpart. With this case report, we would like to highlight that paediatric health
and diseases specialists (paediatricians) should consider hip joint pathologies when patients present
with knee pain, particularly knee pain with an unidentified aetiology.
- Full text:W020151022540841282658.pdf